Surgical appliance for use in ostomy cases



Nov. 8, 1966 E. F. NELSEN SURGICAL APPLIANCE FOR USE IN OS'I'OMY CASES Filed June 3, 1965 2 Sheets-Sheet 1 INVENTOR.

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NOV. 8, 1966 NELsEN 3,283,757

SURGICAL APPLIANCE FOR USE IN OSTOMY CASES Filed June 5, 1965 2 Sheets-Sheet 2 INVENTOR EL H4 E T FT NELSE/V,

United States Patent Ofi ice 3,283,757 Patented Nov. 8, 1966 3,283,757 SURGICAL APPLIANCE FOR USE IN OSTOMY CASES Elhart F. N elson, R-S Linden Lane, Green Bay, Wis. Filed June 3, 1965, Ser. No. 480,215 Claims. (Cl. 128283) This application is a continuation-in-part of my prior copending application Ser. No. 271,758, filed April 9, 1963, now abandoned.

This invention relates to a surgical appliance for use in ostomy cases, and more particularly to such devices generally known as colostomy appliances.

An object of this invention is to provide an ostomy device that can readily be custom fitted to a particular patient.

A further object of this invention is the provision of an ostomy device which may be cementitiously but removably attached to the body of the patient.

Another object of this invention is the provision of an ostomy device which may be worn adjacent the ostomy opening and which is provided with means for removably attaching a bag for receiving any discharge.

An additional object of this invention is the provision of a base member having an opening adjusted to the size of the ostomy opening and an annular flange for receiving a clip ring for holding a bag on the base.

Another object of this invention is the provision of a bag adapted to be clipped on the base and having means for receiving an irrigating device.

The above and other objects will become apparent from a consideration of the following specification taken with the accompanying drawings forming a part thereof.

In the drawings:

FIG. 1 is an exploded perspective view of the device of this invention;

FIG. 2 is a view of the device in position on an ostomy patient, and showing a bag attached thereto;

FIG. 3 is an enlarged section on the line 3-3 of FIG. 2;

FIG. 4 is a rear elevation of the device showing a bag attached thereto;

FIG. 5 is an exploded perspective view of a device for irrigating as used with the basic elements of this invention;

FIG. 6 is a front elevation of the device of FIG. 5;

FIG. 7 is a vertical section on the line 7-7 of FIG. 6;

FIG. 8 is a fragmentary elevation showing the device of FIGS. 57 in position for irrigating; and

FIG. 9 is a section on the line 9-9 of FIG. 8.

Referring now to FIGS. 1 to 4, the numeral 10 indicates one of the basic elements of this invention. The element 10 comprises a disc 12 of plastic material having an annular flange 14 which has a very slightly outwardly inclined surface 16. The rear face of the element It) preferably has a substantially plane annular portion 18 and a slightly convex central portion 20. The outer face of the disc 12 beyond the flange 14 is a substantially planar portion 24 parallel to the portion 18. Inside the flange 14, the disc 12 is dished as at 26. An opening 28 is formed in the element 10, centrally thereof. This opening may be drilled, bored or otherwise formed of a size to accommodate the ostomy opening in the patients body. In FIGS. 2 and 3, a portion of the outline of a patients body is represented by the dashed lines at 30.

The second important feature of this invention is the ring 32. This ring is made of a size to snap over the flange 14, and may do so by virtue of the natural resilience of the material of the flange, the disc 12 and its flange 14 being made of a suitable plastic or resin such as Du Pont nylon or Teflon.

A very important feature of the relationship of the snap ring 32 to the flange 14 is the fact that while the snap ring 32 can snap over the slightly outwardly inclined flange 14, it is also free to rotate on the flange 14. Whether the disc 10 is cemented in place or not, any motion tending to turn it would cause irritation. Body movements may cause some of the belts 42 to pull one way or another, and thus tend to turn the snap ring 32. Since in this case the ring is rotatable on the flange, there is no tendency to turn or twist the disc 10 on the patients body.

The ring 32 is of V-shaped cross-section; having one leg 34 thereof in a single plane, and adapted to fit against the plane surface 24. The other leg 36 of the V tapers outwardly. Openings 38 may be placed in the leg or flange 36 to accommodate hooks 40 on the ends of belt members 42.

In use, a bag 44 is slipped through the ring 32 with the open end thereof folded or turned about the flange 34. The ring 32 is then snapped over the flange 14 securely holding the bag in place. The element It) may be fastened to the patients body by means of suitable non-toxic cement, or the entire colostomy appliance may be held in place by means of belts 42.

A further important feature of this invention is that the disc 12 and the ring 32 are designed to accommodate not only the bag 44 for collecting normal discharges, but also for receiving the bag 144 which is provided with means for insertin a tube connected to a supply of fluid for irrigating and cleansing the portion of the intestine adjacent the ostomy opening. To this end, an opening 50 is formed in a wall of the bag 144. A suitable disc 52, which may be a well known plastic material, and having a boss 54 centrally thereof. is placed within the bag 144 with the boss 54 extending through the opening 59. An opening 58 is formed eccentrically in the disc 52 for .a purpose later to appear.

A disc 69, having an annular flange 62, is provided with a central opening 64 adapted to fit snugly over the boss 56. The inside diameter of the annular flange 62 is slightly larger than the diameter of the disc 52 by an amount suflicient to accommodate the thickness of the bag 144. The boss 52 is provided with a V-groove 66 in which a spring ring may be placed to retain the disc 60 in position. However, I now prefer to form a diametrical opening 66 in the boss 52 to receive a cotter pin or the like 68. An opening 70 is formed eccentrically in the disc 60 and is adapted to be brought into register with the opening 58. When the openings 58 and 70 are in register, a small opening 72 may be formed in the bag 144 for the purpose of introducing the nozzle of a fluid carrying tube 74.

In use, the bag or pouch 144 is passed through the ring 32 with the open end of the bag 144 folded or turned back over the flange or leg 34 of the ring 32. The ring 32 is then snapped over the flange 14. Assuming that the disc 14 of the colostomy device is in place on the patients body, as stated above, it is now ready for an irrigating or cleansing operation. The disc 60 is rotated relative to the disc 52 to bring the openings 58 and 70 into register. The nozzle of a tube 74 is inserted through the openings 58 and 70 and the opening 28, and fluid is circulated for performing the irrigating or cleansing operation. Fluids passing into the bag 144 may be collected in a suitable receptacle or retained in the bag. If the fluids are collected externally of the bag 144, it may be left on the patient. The bottom may be sealed in an appropriate manner, and the disc 60 may be rotated to occlude the opening 58, as shown in FIG. 6.

This invention is an improvement over the devices shown in my prior patents, No. 2,634,737, dated August 14, 1953, and No. 2,958,326, dated November 1, 1960.

Having now described my invention in a preferred embodiment, I desire it to be understood that modifications and improvements may be made within the skill of the art and the scope of the appended claims.

I claim:

1. In an ostomy device, a smooth disc member adapted to be placed against a patients body, said disc member having a central opening adapted to register with an ostomy opening, a slightly outwardly flared annular flange upstanding from said disc member, inwardly from the periphery thereof and constituting a snap ring flange, a substantially rigid annular snap ring adapted to snap over said flange, an ostomy bag having a mouth adapted to pass through and around said snap ring to be held in place thereby, said disc member being slightly concavo convex with the concave portion enclosed by said flange member, the convex portion fitting against the patients body and a planar portion extending radially from the annular flange, said snap ring being V-shaped with one leg of the V lying substantially parallel to said planar portion.

2. The device as defined in claim 1 wherein the snap ring is V-shaped in cross-section with one leg of the V lying in a substantially radial plane against said radially extending planar portion.

3. The device as defined in claim 2 wherein the bag is passed through the snap ring with the open end of same turned about the snap ring to be held against the planar portion of the disc member.

4. The device as defined in claim 1, wherein the snap ring is rotatable on the annular flange.

5. In an ostomy device a smooth disc member adapted to be placed against a patients body, said disc member having a central opening adapted to register with an ostomy opening a slightly outwardly flared annular flange upstanding from said disc member, inwardly from the periphery thereof and constituting a snap ring flange, an ostomy bag, a rigid annular snap ring for holding the mouth of a bag over said flange on said disc member, said disc member being slightly concavo-convex, with the concave portion within the area enclosed by the flange, the convex portion fitting against the patients body and a planar portion extending radially outward from the annular flange, said bag including means to permit irrigation, said means comprising a first disc within the bag having an axial boss extending through the bag, an eccentric opening in the first disc, at second disc having an axial opening snugly fitting the boss, and an eccentric opening adapted to register with the eccentric opening in the first disc for introducing an irrigating device, an opening extending diametrically through the boss, and means in said opening preventing separation of the discs.

References Cited by the Examiner UNITED STATES PATENTS 2,524,750 10/1950 Bellinger 128-283 2,818,069 12/1957 Fenton 128-283 2,902,036 9/1959 Perry 128-283 2,918,064 12/1959 Booth et a1 128-283 2,958,326 11/1960 Nelsen 128-283 3,039,464 6/1962 Galindo 128-283 3,076,458 2/1963 Mason 128-283 3,089,493 5/1963 Galindo 128-283 RICHARD A. GAUDET, Primary Examiner.

C. F. ROSENBAUM, Assistant Examiner. 

1. IN AN OSTOMY DEVICE, A SMOOTH DISC MEMBER ADAPTED TO BE PLACED AGAINST A PATIENT''S BODY, SAID DISC MEMBER HAVING A CENTRAL OPENING ADAPTED TO REGISTER WITH AN OSTOMY OPENING, A SLIGHTLY OUTWARDLY FLARED ANNULAR FLANGE UPSTANDING FROM SAID DISC MEMBER, INWARDLY FROM THE PERIPHERY THEREOF AND CONSTITUTING A SNAP RING FLANGE, A SUBSTANTIALLY RIGID ANNULAR SNAP RING ADAPTED TO SNAP OVER SAID FLANGE, AN OSTOMY BAG HAVING A MOUTH ADAPTED TO PASS THROUGH AND AROUND SAID SNAP RING TO BE HELD IN PLACE THEREBY, SAID DISC MEMBER BEING SLIGHTLY CONCAVO CONVEX WITH THE CONCAVE PORTION ENCLOSED BY SAID FLANGE MEMBER, THE CONVEX PORION FITTING AGAINST THE PATIENT''S 